May 7, 2026 · The American journal of medicine · DOI: 10.1016/j.amjmed.2026.05.004

Bleeding-Related Interactions Between DOACs and Cardiovascular Drugs: Insights from FDA adverse event reporting system

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This study aimed to identify bleeding-related drug interactions between direct oral anticoagulants (DOACs) and cardiovascular medications in patients undergoing polypharmacy, utilizing data from the FDA Adverse Event Reporting System. The authors found 15 significant DOAC-drug combinations associated with increased bleeding risk, particularly involving diuretics and specific cardiovascular drugs, highlighting the importance of considering polypharmacy in DOAC selection and monitoring for bleeding events.

Seunghyun Cheon, Yu-Seon Choi, Young Seo Kim, Jee-Eun Chung

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